Title
Evaluation context impacts neuropsychological performance of OEF/OIF veterans with reported combat-related concussion
Department/School
Psychology, Professional
Date of this version
2010
Document Type
Article
Keywords
forensic neuropsychology, malingering/symptom validity testing
Abstract
Although soldiers of Operations Iraqi Freedom (OIF) and Enduring Freedom (OEF) encounter combat-related concussion at an unprecedented rate, relatively few studies have examined how evaluation context, insufficient effort, and concussion history impact neuropsychological performances in the years following injury. The current study explores these issues in a sample of 119 U.S. veterans (OEF/OIF forensic concussion, n = 24; non-OEF/OIF forensic concussion, n = 20; OEF/OIF research concussion, n = 38; OEF/OIF research without concussion, n = 37). The OEF/OIF forensic concussion group exhibited significantly higher rates of insufficient effort relative to the OEF/OIF research concussion group, but a comparable rate of insufficient effort relative to the non-OEF/OIF forensic concussion group. After controlling for effort, the research concussion and the research non-concussion groups demonstrated comparable neuropsychological performance. Results highlight the importance of effort assessment among OEF/OIF and other veterans with concussion history, particularly in forensic contexts.
DOI
https://doi.org/10.1093/arclin/acq075
Volume
25
Issue
8
Published in
Archives of Clinical Neuropsychology
Citation/Other Information
Nelson, N. W., Hoelzle, J. B., McGuire, K. A., Ferrier-Auerbach, A. G., Charlesworth, M. J., & Sponheim, S. R. (2010). Evaluation context impacts neuropsychological performance of OEF/OIF veterans with reported combat-related concussion. Archives of Clinical Neuropsychology, 25(8), 713-723. https://doi.org/10.1093/arclin/acq075